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Published on: December 31, 2017
Advances in gut microbiota research among pediatric patients with sleep-disordered breathing
Huijie Zhou1, Haochen Li1, Kailu Zhang1
1Department of Respiratory and Critical Care Medicine, Shandong Medical and Pharmaceutical University Hospital, Binzhou, China.
Insights
Pediatric sleep-disordered breathing (SDB) is linked to gut bacteria imbalances. Research explores how gut microbiota affects SDB symptoms and potential new treatments targeting gut health.
Area of Science:
- Pediatric Pulmonology
- Microbiome Research
- Neuroscience
Background:
- Sleep-disordered breathing (SDB) in children, particularly obstructive sleep apnea (OSA), is common.
- Traditionally viewed as an upper airway issue, SDB's systemic connections are increasingly recognized.
- The gut microbiota's role in immunity, metabolism, and neurological function is a growing area of study.
Purpose of the Study:
- To review the current understanding of the relationship between pediatric SDB and gut microbiota dysbiosis.
- To explore the mechanisms linking gut microbiota to SDB-related cognitive and behavioral changes.
- To discuss potential gut microbiota-based biomarkers and therapeutic strategies for pediatric SDB.
Main Methods:
- Literature review of recent research on pediatric SDB and gut microbiota.
- Analysis of studies investigating the bidirectional association and underlying mechanisms.
- Synthesis of findings related to diagnostic and therapeutic implications.
Main Results:
- Evidence indicates a bidirectional relationship between pediatric SDB and gut microbiota dysbiosis.
- Gut microbiota alterations may influence cognitive and behavioral symptoms in children with SDB.
- The gut microbiota presents potential targets for novel diagnostic and therapeutic interventions.
Conclusions:
- The gut microbiota plays a significant role in pediatric SDB beyond local airway factors.
- Targeting the gut microbiota may offer adjunctive strategies for managing pediatric SDB.
- Further research is needed to fully elucidate mechanisms and develop clinical applications.
Abstract:
Sleep-disordered breathing (SDB) in children encompasses a spectrum of disorders characterized by abnormal breathing during sleep, with obstructive sleep apnea (OSA) being the most prevalent phenotype. Traditionally, SDB has been viewed as a disorder involving local upper airway structural and neuromodulatory abnormalities. In recent years, the role of the gut microbiota as the "second brain" and a systemic regulator of immunity and metabolism has gained increasing prominence. Accumulating evidence suggests a bidirectional association between pediatric SDB and gut microbiota dysbiosis. This review summarizes recent advances in research on the interplay between pediatric SDB and the gut microbiota, explores the underlying mechanisms-particularly those governing gut microbiota-mediated cognitive and behavioral alterations-and discusses potential diagnostic biomarkers and novel adjunctive therapeutic strategies targeting the gut microbiota. It aims to provide new perspectives for the comprehensive management of pediatric SDB.
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